Individual
TYRONE VANBUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3701 CANAL STREET, SUITE 129, NEW ORLEANS, LA 70119-6158
(504) 355-1621
Mailing address
1627 PAILET AVE, HARVEY, LA 70058-3621
(504) 214-9103
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8387
LA
Other
Enumeration date
12/07/2016
Last updated
04/30/2024
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